Skip to main content Accessibility help
×
Home

An Interpretative Phenomenological Analysis of Discontinued Use of the E-Cigarette

  • Camille Alexis-Garsee (a1), Stephanie Meehan (a1) and Olga van den Akker (a1)

Abstract

Introduction: Many UK smokers use e-cigarettes as a quitting aid; however, a substantial number discontinue use of the e-cigarette and revert to smoking. Understanding why this may happen is important both for individuals and for stop smoking services.

Aims: To explore young adult smokers’ experiences of use and discontinued use of the e-cigarette.

Methods: Semi-structured interviews were conducted with six participants who tried e-cigarettes for at least seven days and returned to smoking. Data was transcribed and analysed using interpretative phenomenological analysis.

Results: Findings suggested participants held conflicting attitudes about using e-cigarettes, which undermined attempts to quit smoking, and led to the discontinuation of the e-cigarette. These conflicts centred on participants’ discomfort with the e-cigarette or vaping identity, lack of abstinence self-efficacy and navigation of barriers to e-cigarette use. The complex interplay of these factors may have led to an underestimation of the individual effort required to continue vaping and reinforced participants’ perception of the e-cigarette as an inferior product to the cigarette.

Conclusions: Future research should focus on the role of identity, self-efficacy, control and smokers’ expectations of e-cigarettes on smoking cessation as these may be important factors to consider for a more tailored service for e-cigarette users.

Copyright

Corresponding author

Address for correspondence: Dr Camille Alexis-Garsee, PhD, Senior Lecturer, Middlesex University, School of Science and Technology, The Burroughs, Hendon, London NW4 4BT, UK. Email: c.alexis-garsee@mdx.ac.uk

References

Hide All
ASH. (2017, May). Use of e-cigarettes (vapourisers) among adults in Great Britain. Retrieved from www.ash.org.uk:file:///C:/Users/Ccc/Downloads/Use-of-e-cigarettesamong-adults-in-Great-Britain-May-2017.pdf
Brown, J., Beard, E., Kotz, D., Michie, S., & West, R. (2014). Real-world effectiveness of e-cigarettes when used to aid smoking cessation: A cross-sectional population study. Addiction, 109 (9), 15311540. https://doi.org/10.1111/add.12.
Bullen, C., Howe, C., Laugesen, M., McRobbie, H., Parag, V., Williman, J. et al. (2013). Electronic cigarettes for smoking cessation: A randomised controlled trial. The Lancet, 382 (9905), 1629–37. doi: 10.1016/S0140-6736(13)61842-5.
Chen (2013). FDA summary of adverse effects on electronic cigarettes. Nicotine & Tobacco Research, 15 (2), 615616.
Coleman, B. N., Johnson, S. E., Tessman, G. K., Tworek, C., Alexander, J., Dickinson, D. M. et al. (2016). “It's not smoke. It's not tar. It's not 4000 chemicals. Case closed”: Exploring attitudes, beliefs, and perceived social norms of e-cigarette use among adult users. Drug and Alcohol Dependence, 159, 8085. doi: 10.1016/j.drugalcdep.2015.11.028.
Farrimond, H. R. (2017). A typology of vaping: Identifying differing beliefs, motivations for use, identity and political interest amongst e-cigarette users. International Journal of Drug Policy, 48, 8190. https://doi.org/10.1016/j.drugpo.2017.07.011.
Flouris, A., Chorti, M., Poulianiti, K., Jamurtas, A., Kostikas, K., & Tzatzarakis, M. (2013). Acute impact of active and passive electronic cigarette smoking on serum cotinine and lung function. Inhalation Toxicxology, 25 (2), 91101. doi: 10.3109/08958378.2012.758197.
Gwaltney, C. J., Metrik, J., Kahler, C. W., & Shiffman, S. (2009). Self-efficacy and smoking cessation: A meta-analysis. Psychology of Addictive Behaviors, 23 (1), 120, DOI: 10.1037/a0013529.
Gwaltney, C. J., Shiffman, S., Norman, G., Paty, J. A., Kassel, J. D., Gnys, M. et al. (2001). Does smoking abstinence self-efficacy vary across situations? identifying context-specificity within the relapse situation efficacy questionnaire. Journal of Consulting and Clinical Psychology, 69 (3), 516—527. doi: 10.1037//0022-006X.69.3.516
Gwaltney, C., Shiffman, S., Balabanis, M., & Paty, J. (2005). Dynamic self-efficacy and outcome expectancies: Prediction of smoking lapse and relapse. Journal of Abnormal Psychology, 114, 661—675. doi: 10.1037/0021-843X.114.4.661
Hartmann-Boyce, J., McRobbie, H., Bullen, C., Begh, R., Stead, L. F., & Hajek, P. (2016). Electronic cigarettes for smoking cessation. Cochrane Database of Systematic Reviews, 9, CD010216, 194. DOI: 10.1002/14651858.CD010216.pub3.
Heydari, G., Ahmady, A. F. C., Masjedi, M., & Fadaizadeh, L. (2017). Electronic cigarette, effective or harmful for quitting smoking and respiratory health: A quantitative review papers. Lung India, 34, 2528.
Kalkhoran, S., & Glanrz, S. A. (2016). E-cigarettes and smoking cessation in real-world and clinical settings: A systematic review and meta-analysis. The Lancet Respiratory Medicine, 4 (2), 116–28. doi: 10.1016/S2213-2600(15)00521-4
Kong, G., Morean, M. E., Cavallo, D. A., Camenga, D. R., & Krishnan-Sarin, S. (2015). Reasons for electronic cigarette experimentation and discontinuation among adolescents and young adults. Nicotine & Tobacco Research, 17 (7), 847854. doi:10.1093/ntr/ntu257
Lucherini, M., Rooke, C., & Amos, A. (2017). “They're thinking, well it's not as bad, I probably won't get addicted to that. But it's still got the nicotine in it, so. . .”: Maturity, control, and socializing: Negotiating identities in relation to smoking and vaping—a qualitative study of young adults in Scotland. Nicotine & Tobacco Research, ntx245, 1–7. doi: 10.1093/ntr/ntx245
Luck, K., & Beagan, B. (2014). Occupational transition of smoking cessation in women: “You're restructuring your whole life,” Journal of Occupational Science, 22 (2), 183196. doi: 10.1080/14427591.2014.887418
Marlatt, G. A., & Donovan, D. M. (Eds.). (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors (2nd ed.). New York, NY, USA: Guilford Press.
McEwan, A., & McRobbie, H. (2016, January). Electronic cigarettes: A briefing for stop smoking services. National Centre for Smoking Cessation and Training (NCSCT). Retrieved from http://www.ncsct.co.uk/usr/pub/Electronic_cigarettes._A_briefing_for_stop_smoking_services.pdf
Orton, S., Coleman, T., Lewis, S., Cooper, S., & Jones, L. L. (2016). “I was a full time proper smoker”: A qualitative exploration of smoking in the home after childbirth among women who relapse postpartum. PLoS ONE, 11 (6), e0157525. doi: 10.1371/journal.pone.0157525
Pepper, J. K., Ribisl, K. M., Emery, S. L., & Brewer, N. T. (2014). Reasons for starting and stopping electronic cigarette use. International Journal of Environmental Research and Public Health, 11, 1034510361. doi: 10.3390/ijerph111010345.
Perkins, K. A., Parzynski, C. S., Mercincavage, M., Conklin, C. A., & Fonte, C. A. (2012). Is self-efficacy for smoking abstinence a cause of, or a reflection on, smoking behaviour change? Experimental Clinical Psychopharmacology, 20 (1), 5662. doi: 10.1037/a0025482.
Pietkiewicz, I., & Smith, J. (2012). A practical guide to using interpretative phenomenological analysis. Psychological Journal, 18 (2), 361369.
Public Health England (PHE). (2017). Models of delivery for stop smoking services: Options and evidence. PHE Publications. Retrieved from https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/647069/models_of_delivery_for_stop_smoking_services.pdf
Rooke, C., Cunningham-Burley, S., & Amos, A. (2016). Smokers’ and ex-smokers’ understanding of electronic cigarettes: A qualitative study. Tobacco Control, 25, e60e66. doi:10.1136/tobaccocontrol-2014-052151
Sherratt, F. C., Newson, L., Marcus, M. W., Field, J. K., & Robinson, J. (2016). Perceptions towards electronic cigarettes for smoking cessation among stop smoking service users. British Journal of Health Psychology, 21 (2), 421–33. doi: 10.1111/bjhp.12177
Simonavicius, E., McNeill, A., Arnott, D., & Brose, L. S. (2017). What factors are associated with current smokers using or stopping e-cigarette use? Drug and Alcohol Dependence, 173, 139143.
Slovic, P. (Ed.). (2000). Risk, society, and policy series. The perception of risk. London, UK: Earthscan Publications.
Smith, J., Flowers, P., & Osborn, M. (1997). Interpretative phenomenological analysis and the psychology of health and illness. In Yardley, L. (Ed.), Material discourses of health and illness. London, UK: Routledge.
Smith, J., & Osborn, M. (2003). Interpretative phenomenological analysis. In Smith, J. A. (Ed.), Qualitative psychology: A practical guide to research methods (pp. 5180). London, UK: Sage Publications.
Tombor, I., Shahab, L., Brown, J., Notley, C., & West, R. (2015). Does non-smoker identity following quitting predict long-term abstinence? Evidence from a population survey in England. Addictive Behaviors, 45, 99103.
Tombor, I., Shahab, L., Brown, J., & West, R. (2013). Positive smoker identity as a barrier to quitting smoking: Findings from a national survey of smokers in England. Drug and Alcohol Dependence, 133, 740745, DOI: 10.1016/j.drugalcdep.2013.09.001.
Tombor, I., Shahab, L., Herbec, A., Neale, J., & West, S. M. (2015). Smoker identity and its potential role in young adults’ smoking behavior: A meta-ethnography. Heath Psychology, 34 (10), 9921003.
Tombor, I., Vangeli, E., West, R., & Shahab, L. (2018). Progression towards smoking cessation: Qualitative analysis of successful, unsuccessful, and never quitters. Journal of Substance Use, 23 (2), 214222, https://doi.org/10.1080/14659891.2017.1378746
Vangeli, E. (2010). An exploration of the role of identity in smoking, cessation, maintenance and relapse. (Unpublished Doctoral thesis, City University London). http://openaccess.city.ac.uk/1184/
Vangeli, E., & West, R. (2012). Transition towards a ‘non-smoker’ identity following smoking cessation: An interpretative phenomenological analysis. British Journal of Health Psychology, 17 (1), 171–84. doi: 10.1111/j.2044-8287.2011.02031.x.
Wagener, T., Siegel, M., & Borrelli, B. (2012). Electronic cigarettes: Achieving a balanced perspective. Addiction, 107 (9), 15451548.
West, R. (2006). Theory of addiction. Oxford: Blackwell Publishing.
West, R., Beard, E., & Brown, J. (2018, April). STS documents. Smoking In England. Retrieved from www.smokinginengland.info/latest-statistics
West, R., May, S., West, M., Croghan, E., & McEwen, A. (2013). Performance of English stop smoking services in first 10 years: Analysis of service monitoring data. BMJ, 347, f4921 doi: 10.1136/bmj.f4921.

An Interpretative Phenomenological Analysis of Discontinued Use of the E-Cigarette

  • Camille Alexis-Garsee (a1), Stephanie Meehan (a1) and Olga van den Akker (a1)

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed